Silver Oak Nursing and Rehabilitation Center LLC in Marion, IA was fined $29,107 by CMS across 2 separate penalties following 73 deficiency citations identified during federal surveys.

Silver Oak Nursing and Rehabilitation Center LLC (Marion, IA) — $29,107 in CMS Fines

Outcome: Silver Oak Nursing and Rehabilitation Center LLC in Marion, IA was fined $29,107 by CMS across 2 separate penalties following 73 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.


• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.


• Have a plan that describes the process for conducting QAPI and QAA activities.


• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.


• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.


• Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.


• Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.


• Observe each nurse aide's job performance and give regular training.